10 health deficiencies
Top issue: Infection Control (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Toppenish, WA
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
802 West Third Avenue, Toppenish, WA
(509) 865-3955
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
75
Certified beds
Average residents
71
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1968-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.61
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.46
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.17
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.51
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,077
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9907
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.83
Baseline 19.59% · Performance 19.19% · Measure score 4.83 · Achievement 4.83 · Improvement 1.06
Healthcare-associated infections
1.17
Baseline 6.44% · Performance 7.49% · Measure score 1.17 · Achievement 1.17 · Improvement 0
Total nurse turnover
7.26
Baseline 42.86% · Performance 34.00% · Measure score 7.26 · Achievement 7.26 · Improvement 4.42
Adjusted total nurse staffing
1.73
Baseline 3.57 hours · Performance 3.57 hours · Measure score 1.73 · Achievement 1.73 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.91% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 77 · Observed rate 12.99% · Lower 95% interval 7.47% |
| Discharge to community | 44.52% |
50.57%
6 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 34.09% · Lower 95% interval 34.39% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 45 · Denominator 45 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 45 |
| Discharge self-care score | 54.84% |
53.69%
1.2 pts better
|
Numerator 17 · Denominator 31 |
| Discharge mobility score | 54.84% |
50.94%
3.9 pts better
|
Numerator 17 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 2.22% |
2.29%
0.1 pts better
|
Numerator 1 · Denominator 45 · Adjusted rate 1.76% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 49 · Observed rate 10.2% · Lower 95% interval 4.71% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 73 |
| Staff flu vaccination coverage | 35.35% |
42%
6.6 pts worse
|
Numerator 35 · Denominator 99 |
| Discharge function score | 67.74% |
56.45%
11.3 pts better
|
Numerator 21 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 80.95% |
96.28%
15.3 pts worse
|
Numerator 17 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 46.88% |
25.2%
21.7 pts better
|
Numerator 15 · Denominator 32 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.4
0.2 pts worse
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 3.5 · Expected 4.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.5
0.6 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.3 · Expected 2.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.0%
4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.8%
6.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
2.6%
0.7 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 2.0% · Q4 3.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.3% |
16.3%
7 pts better
|
11.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 9.1% · Q3 7.1% · Q4 13.7% · 4Q avg 9.3% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.8%
1.3 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 8.7% · Q4 7.4% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.2% |
12.1%
1.1 pts worse
|
19.6%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 13.5% · Q3 14.9% · Q4 13.0% · 4Q avg 13.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.6% |
15.9%
7.7 pts worse
|
16.7%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 23.5% · Q3 25.7% · Q4 18.4% · 4Q avg 23.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 28.2% |
20.0%
8.2 pts worse
|
16.3%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.6% |
15.8%
1.8 pts worse
|
14.9%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.0% · Q2 18.8% · Q3 4.7% · Q4 12.0% · 4Q avg 17.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.2%
0.7 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.7%
0.7 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.8% |
23.5%
0.7 pts better
|
19.8%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 15.4% · Q3 15.8% · Q4 31.5% · 4Q avg 22.8% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
4.7%
1.7 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.2% · Q3 5.5% · Q4 9.9% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.7%
12.3 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
13.2%
5.1 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 8.2% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.4%
0.5 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.7% · Q3 1.5% · Q4 1.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.2% |
82.0%
15.2 pts better
|
79.7%
17.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.3% |
19.9%
2.4 pts worse
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 21.3% · Expected 22.8% · Used in QM five-star |
Survey summary
Top issue: Infection Control (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
20 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-12-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-26
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-11-23
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-11-23
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-11-23
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-11-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-11-23
Fire Safety
Meet other general requirements.
Corrected 2024-11-23
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-11-23
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-11-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-11-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-23
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-11-23
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-23
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-11-23
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-11-23
Fire Safety
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Corrected 2024-11-23
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-23
Fire Safety
Have an externally vented heating system.
Corrected 2024-11-23
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-10-25
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-10-10
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-10-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-10
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-26
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-26
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-12-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-26
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-12-26
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-12-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-15
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-27
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-27
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-11-27
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-11-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-27
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-11-27
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-11-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-27
Health
Dispose of garbage and refuse properly.
Corrected 2024-11-27
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-11-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-19
Health
Respond appropriately to all alleged violations.
Corrected 2023-10-19
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-10-19
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-10-19
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-10-19
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-10-19
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-10-25
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-10-19
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-19
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-06-29
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-05-03
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-03
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Security Interest · Organization
Nearby options
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5-star overall rating with 4-star inspections with 8 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Union Gap, WA
1-star overall rating with 1-star inspections with $115,165 in total fines with 22 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
Sunnyside, WA
3-star overall rating with 3-star inspections with $92,827 in total fines with 12 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle
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